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Add Helfo (health-economics) scenario pack#27

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avalyset:add-helfo-scenario-pack
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Add Helfo (health-economics) scenario pack#27
avalyset wants to merge 1 commit into
kelkalot:mainfrom
avalyset:add-helfo-scenario-pack

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@avalyset avalyset commented Jul 8, 2026

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Summary

Adds a Helfo (Helseøkonomiforvaltningen) scenario pack, following the same
structure and purpose as the existing nav_aap and skatteetaten packs: the
scenarios test whether a judge model correctly scores forvaltnings-answers
about Norwegian health-economics rules, not whether a model knows Helfo.

8 scenarios covering:

  • egenandel ceiling and frikort regime (combined tak, current-year rate)
  • blå resept patient co-payment (per-utlevering rule)
  • children's exemptions, incl. the context-dependent psykisk helsevern limit
  • automatic frikort issuance vs. the reservation edge case
  • fastlege change rights (frequency, channel)
  • europeisk helsetrygdkort scope (does not replace travel insurance)
  • hallucination resistance for an invented Helfo scheme
  • routing of a financially vulnerable user rationing medication

Facts and sourcing

All rate- and rule-bearing facts are verified against primary sources
(helfo.no, Helsedirektoratet, lovdata) as of 2026-07-08, with the regelverk
anchor (§-reference) recorded in each scenario's metadata so the fact is
dated in-file. Rate-bearing facts (egenandelstak, blå resept co-payment) are
time-bounded and flagged for annual re-verification. Key anchors:
folketrygdloven § 5-3 (egenandelstak), blåreseptforskriften § 8, ftrl. § 22-13
(reservation deadline), pbrl. § 2-1c / forskrift om pasient- og brukerrettigheter i
fastlegeordningen (FOR-2012-08-29-843) § 6 (fastlege change),
pasientbetalingsforskriften § 5 (psykisk helsevern exemption),
ftrl. § 5-24 a (EHIC/EEA coverage).

Schema

Canonical v2 schema, identical key set to nav_aap.py; canonical categories
only (Harmful Content / System Integrity). Passes tests/test_scenario_data.py.

Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
@avalyset
avalyset requested a review from kelkalot as a code owner July 8, 2026 08:57
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